License agreement for exterior cleaning, 65 Liberty Street

NYC 9/11 Public Portal Document

cx NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program [ioiqoyoo3 J PEWRITTEN c9 bpi'. ASBESTOS PROJECT NOTIFICATION ~rwrii~`6 59-17 Junction Boulevard. 8th Floor, Corona, NY 11368-5107 Building Dept. TRU No FOR OFFICIAL USE ONLY

FORMS WILL BE (ASBESTOS INSPECTION REPORT) 1. ACCEPTED ="!'•'!L' (S fee schedule)

t When submitting this form at the NYC Department of Buildings, the original form and three (3) copies with original f - signatures are required. Submittal at the NYCDEP requires one copy of the form with original signatures. This form must be submitted to the NYC DEP not less than one week in advance of the start of abatement activities.

I. FACILITY

2. Address L 113 CR7_y sT'R E i Borough MAN ip

AKA 3. Block 4. Lot

5. Type of Facility 6. Name of Building

II. BUILDING OWNER

7. Name _S5 I-.((3F~RT'1 C)C- IERS CO(. f. • '8. Contact Person .Cynic' C CtP//I/i19

9.Tel.# .2.L2)63.2-7373 Fax#

10. Address G Fes+ 43' 4 S~l-ea City Mew YIo rlc State _ Zip /DO(7

III. GENERAL CONTRACTOR

11. Name Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR ~ 12. Name F I out' C677/roJ. 13. Contact Person T G '

` 15. Tel #.t?f6) 78 / - 3 Fax # 16 - ~c 14. Federal Employer ID #.-.-.-.-.-.-.-.-. PII

16. Address 3o1o I rrts Ave City ___ fw State Zip

V. THIRD PARTY AIR MONITOR i ci, a e. / Vt)1L`44 17. Name W yr1 P ir- ) -...-.—..--.-.-.-.-.-.-.-.-., P G 18. Contact Person M

19. Federal Employer ID. # _ _ _ _ _ P11 ~,~~— 20. Tel. #(212)921 -0077 Fax # r(2/2) 1 , d~3b • 21. Address 2~9 t - 1l'E ~" ''' City rj e-..i ¼2Y- State J►~ Zip 1Ot) 17

22. Sample Analysis Laboratory S[ i ems, 4 c, L ' 23. NYS DOH ELAP # 1/ VI. PROJECT INFORMATION

24. Starting date for this portion of work 02/0 c/3 Projected completion date OX. V- S

Asbestos work schedule ❑ Monday ❑ Tuesday ❑ Wednesday 0 Thursday ❑ Friday 0 Saturday ❑ Sunday

Shift from: ''1 ®am ❑ pm to 3 ❑ am ®pm

If other. specify 7 4 Access to inspect the premises must be provided during the work schedule indicated in this item. •fRErCEIVED 9 Wl ei- QUREAUor AEp 25. Total amount of asbestos-containing material to be abated during this work UM1T

9, 1tyo - Square Feet, and/or Linear Feet — -- - -- - - ACP 7 2/2001 Post-it® Fax Note 7671 DateOZ 07 0,3 Pages j. To -rON Y Ce3 S TA From p , f A1"1kL0,z1,q V Co./Dept. Fi r C-oYl'1tvo/ Co. /Yyc JEEP qcP t Phone 78I-3obro #/S•lI.' Phone # 7/8 52_5 _373/ Fax it (Sly) 7~ - 3985 Fax # -/8) SAS-- 3 7

NYC-WTC 000093467